A56.11
A56.11: Chlamydial female pelvic inflammatory disease
Billable / specific codeICD-10-CM
A56.11 is a billable, specific ICD-10-CM code for chlamydial female pelvic inflammatory disease. It is valid for submission on a claim.
Check A56.11 with the rest of the claim: free scrubberExcludes1 inherited from the categories above A56.11
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above A56.11
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with A56.11
Their own Excludes1 notes name this code, so the conflict is not listed above.
- N74Female pelvic inflammatory disorders in diseases classified elsewhere
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
A56.11 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58720Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
- A58747Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Alphabetic index entries that lead here
- Chlamydia, chlamydial›endometritis
- Chlamydia, chlamydial›salpingitis
- Endometritis›chlamydial
- Salpingitis›chlamydial
- Chlamydia, chlamydial›female›pelvic inflammatory disease
- Chlamydia, chlamydial›female›pelviperitonitis
- Disease, diseased›pelvis, pelvic›inflammatory›chlamydial
Code history
Unchanged in every release from FY2024 to FY2027.